N.M. Admin. Code § 13.14.17.9 - FORM 1 - STATEMENT OF INCOME AND EXPENSES
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NEW MEXICO TITLE INSURER STATISTICAL REPORT FORM 1 - STATEMENT OF INCOME AND EXPENSES For the Calendar Year Ending December 31, 20___ NEW MEXICO EXPERIENCE ONLY |
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Insurer |
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NAIC Code |
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Direct Operations |
Non-Affiliated Agency Operations |
Affiliated Agency Operations |
Total |
NAIC Annual Statement Schedule T |
Difference |
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Part A - Revenue |
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1 |
Direct written premiums |
0 |
0 |
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2 |
Direct written premiums retained by agency |
0 |
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3 |
Direct written premiums remitted to insurer |
0 |
0 |
0 |
0 |
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4 |
Escrow and settlement service charges |
0 |
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5 |
Other title fees and service charges |
0 |
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6 |
Total other income |
0 |
0 |
0 |
0 |
0 |
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7 |
Total revenue |
0 |
0 |
0 |
0 |
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For an insurer that charges rates below the promulgated rates: |
From Form 3 |
Difference |
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8 |
Direct premiums as if they had been written at promulgated rates |
0 |
0 |
0 |
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Part B - Expenses Line 1 as defined per NAIC annual statement, STATEMENT OF INCOME exhibit. Lines 2 through 22 as defined per NAIC annual statement, EXPENSES exhibit. All entries should show NEW MEXICO expenses only and should NOT include direct charges from direct operations. |
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1 |
Losses and loss adjustment expenses incurred |
0 |
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2 |
Total personnel costs |
0 |
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3 |
Total production services purchased outside |
0 |
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4 |
Advertising |
0 |
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5 |
Boards, bureaus, and associations |
0 |
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6 |
Title plant rent and maintenance |
0 |
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7 |
Claim adjustment services |
0 |
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8 |
Amounts charged off, net of recoveries |
0 |
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9 |
Marketing and promotional expenses |
0 |
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10 |
Insurance |
0 |
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11 |
Directors' fees |
0 |
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12 |
Travel and travel items |
0 |
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13 |
Rent and rent items |
0 |
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14 |
Equipment |
0 |
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15 |
Cost or depreciation of EDP equipment and software |
0 |
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16 |
Printing, stationery, books, and periodicals |
0 |
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17 |
Postage, telephone, messenger, and express delivery |
0 |
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18 |
Legal and auditing |
0 |
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19 |
Total taxes, licenses, and fees |
0 |
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20 |
Real estate expenses |
0 |
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21 |
Real estate taxes |
0 |
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22 |
Aggregate write-ins for miscellaneous expenses |
0 |
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23 |
Total Expenses |
0 |
0 |
0 |
0 |
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Part C - Net Income |
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1 |
Income (Loss) |
0 |
0 |
0 |
0 |
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Notes
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